33D2051650 CLIA NUMBER - BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK

Laboratory Demographics

  • CLIA Code: 33D2051650
  • Facility Name: BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK
  • Facility Address: 26561 STATE ROUTE 3
    WATERTOWN, NY
    ZIP 13601
  • Facility Phone: (603) 647-2333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BHUPINDER S. BOLLA
  • NPI Number: 1073884383
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2051650
LAB Type Physician Office
Facility Name BHUPINDER SINGH BOLLA, MD, PLLC DBA PAIN SOLUTIONS OF NORTHERN NEW YORK
Street 26561 STATE ROUTE 3
City WATERTOWN
State NY
ZIP 13601
Phone 6036472333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Physician Office
Lab Director DR. BHUPINDER S. BOLLA

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This page was last updated on: 5/18/2026